Individual provider Active NPI

Jimin Kim Lee

  • Pharmacist
  • Morrisville, PA
National Provider Identifier
1942521828
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP439933 Issued in PA
Practice address
833 W Trenton Ave
Morrisville, PA 19067-3575
Phone
(215) 736-9501
Fax
(215) 428-3771
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP439933 PA Primary

Addresses

Primary practice location

833 W Trenton Ave
Morrisville, PA 19067-3575

Mailing address

833 W Trenton Ave
Morrisville, PA 19067-3575
Phone (215) 736-9501

Other names 1

  • Jimin Kim Lee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RP439933PAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1942521828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 W TRENTON AVE",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190673575",
            "telephone_number": "215-736-9501",
            "fax_number": "215-428-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 W TRENTON AVE",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190673575",
            "telephone_number": "215-736-9501",
            "fax_number": "215-428-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM LEE",
        "first_name": "JIMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP439933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIMIN",
            "last_name": "LEE",
            "middle_name": "KIM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morrisville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.